NPIMap

Organization Active NPI

Decatur Hospital Authority

  • Skilled Nursing Facility
  • Lewisville, TX
National Provider Identifier
1992561260
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
DECATUR HOSPITAL AUTHORITY
Practice address
700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339
Phone
(972) 906-9789
Fax
(972) 956-9491
NPI assigned
Feb 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Todd Scroggins
Title
Ceo
Phone
(940) 627-5921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339

Mailing address

700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339
Phone (972) 906-9789

Other names 1

  • Vista Ridge Nursing and Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605000449 TX Part A Provider - Skilled Nursing Facility 8123560265 Practice locations: Lewisville, TX

Skilled nursing facility certification: CCN 676036

Legal name
PMG OPCO-LEWISVILLE LLC
Doing business as
VISTA RIDGE NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Oct 5, 2004
Last certification
Dec 19, 2024
Beds
132
Ownership / control type
Hospital District
Multi-facility organization
The Decater Hospital Ditrict
Organization structure
LLCProprietary
Enrollment address
700 E Vista Ridge Mall Dr
Lewisville, TX 75067-8339
Nursing home name
VISTA RIDGE NURSING & REHABILITATION CENTER
Affiliated entity
PRIORITY MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vista Ridge Nursing & Rehabilitation CenterCCN 676036
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
Government - Hospital district
Certified
Oct 5, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
13282.1 residents per day on average
Chain
Priority Management38 facilities in the chain
Penalties (3 years)
1Fines totaling $10,348

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Manoj K Patel Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
PMG Realco-Lewisville, LLC Organization, Dallas, TX LLC Adp of the SNF Apr 1, 2024
Douglas B Boulware Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Katie B Walker Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Thomas C Boulware Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Bridgepointe Finanical Services, LLC Organization, Dallas, TX LLC Adp of the SNF Apr 1, 2024
Priority Management Group, LLC Organization, Dallas, TX LLC Adp of the SNF Apr 1, 2024
Sandra Boulware Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Steven D Boulware Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2024 41.66%
Corporate OfficerManaging Partner Apr 1, 2024
Adp of the SNF Apr 1, 2024
Parker C Bauder Individual 5% Or Greater Indirect Ownership Interest Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Boulware St James LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2024 33.34%
Innovative Nurse Consulting, LLC Organization, Dallas, TX LLC Adp of the SNF Apr 1, 2024
Kelly P Bauder Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2024 8.34%
Adp of the SNF Apr 1, 2024
Genevy Rodriguez Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Progressive Rehab Solutions, LLC Organization, Dallas, TX LLC Adp of the SNF Apr 1, 2024
Madison R Bauder Individual Adp of the SNF Apr 1, 2024
Bobbie Miller Individual Corporate OfficerVP of Revenue Cycle Apr 1, 2024
William M Bauder Individual 5% Or Greater Indirect Ownership InterestMember Apr 1, 2024 8.34%
Corporate OfficerManaging Partner Apr 1, 2024
Adp of the SNF Apr 1, 2024
Steven Boulware Family Investments LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2024 33.33%
Bauder Family Investments, LLC Organization, Dallas, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 1, 2024 33.33%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 11

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1992561260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E VISTA RIDGE MALL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678339",
            "telephone_number": "972-906-9789",
            "fax_number": "972-956-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E VISTA RIDGE MALL DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750678339",
            "telephone_number": "972-906-9789",
            "fax_number": "972-956-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HOSPITAL AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "SCROGGINS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "940-627-5921"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista Ridge Nursing and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.